Teamwork in a Surgical Department

Ramadanov, Nikolai

doi:10.5772/intechopen.93698

Cited by 5 publications

(3 citation statements)

References 95 publications

(115 reference statements)

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“…Good teamwork depends on leadership and coordination of all surgeons by sharing knowledge and understanding each other's role, to establish an open environment between and within the various professionals aiming is to provide proper patient's care. [25,26].…”

Section: Discussionmentioning

confidence: 99%

The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey

De Simone,

Agnoletti,

Abu-Zidan

et al. 2024

Updates Surg

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Background Despite advances and improvements in the management of surgical patients, emergency and trauma surgery is associated with high morbidity and mortality. This may be due in part to delays in definitive surgical management in the operating room (OR). There is a lack of studies focused on OR prioritization and resource allocation in emergency surgery. The Operating Room management for emergency Surgical Activity (ORSA) study was conceived to assess the management of operating theatres and resources from a global perspective among expert international acute care surgeons. Method The ORSA study was conceived as an international web survey. The questionnaire was composed of 23 multiplechoice and open questions. Data were collected over 3 months. Participation in the survey was voluntary and anonymous. Results One hundred forty-seven emergency and acute care surgeons answered the questionnaire; the response rate was 58.8%. The majority of the participants come from Europe. One hundred nineteen surgeons (81%; 119/147) declared to have at least one emergency OR in their hospital; for the other 20/147 surgeons (13.6%), there is not a dedicated emergency operating room. Forty-six (68/147)% of the surgeons use the elective OR to perform emergency procedures during the day. The planning of an emergency surgical procedure is done by phone by 70% (104/147) of the surgeons. Conclusions There is no dedicated emergency OR in the majority of hospitals internationally. Elective surgical procedures are usually postponed or even cancelled to perform emergency surgery. It is a priority to validate an effective universal triaging and scheduling system to allocate emergency surgical procedures. The new Timing in Acute Care Surgery (TACS) was recently proposed and validated by a Delphi consensus as a clear and reproducible triage tool to timely perform an emergency surgical procedure according to the clinical severity of the surgical disease. The new TACS needs to be prospectively validated in clinical practice. Logistics have to be assessed using a multi-disciplinary approach to improve patients' safety, optimise the use of resources, and decrease costs.

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Section: Discussionmentioning

confidence: 99%

The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey

De Simone,

Agnoletti,

Abu-Zidan

et al. 2024

Updates Surg

View full text Add to dashboard Cite

show abstract

“…In literature, the decision on scheduling elective patients can be made at a strategic level also called a "case mix planning problem" when OR times are assigned among different surgical services; in a tactical way or according to a master surgical schedule (MSS) that de nes the number and type of available ORs; and in an operational level which is concerned with the scheduling of elective patients on a daily basis after an MSS has been developed [22].…”

Section: Discussionmentioning

confidence: 99%

The “Operating Room Surgical Activity” (ORSA) study: a snap-shot international survey on the global management of the operating theatres for emergency surgery. When to persist is diabolical…

Simone

Agnoletti

Rosato

et al. 2023

Preprint

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Background Despite advances and improvements in the management of surgical patients, emergency and trauma surgery is correlated with high morbidity and mortality. This is mostly due to delays in the management of patients from admission to surgical treatment in the operating room. There is a lack of studies focused on operating room prioritization and resource allocation in emergency surgery. The Operating Room Surgical Activity (ORSA) study was conceived to assess the management of operating theatres and resources from a global perspective. Method The ORSA study was conceived as an international web survey. The questionnaire was composed of 23 multiple-choice and open questions. Data were collected over 3 months. Participation in the survey was voluntary and anonymous. Results One hundred forty-seven emergency and acute care surgeons answered the questionnaire; the response rate was 7.35%. Most of the participants come from Europe. One hundred nineteen surgeons (81%; 119/147) declared to have at least 1 emergency OR in their hospital; for the others 20/147 surgeons (19%), there is not a dedicated emergency operating room. Forty-six (68/147) % of surgeons use the elective operating room to perform emergency procedures during the day, The planning of an emergency surgical procedure is made by phone (70%-104/147 of surgeons). Conclusions There is no dedicated emergency operating room in the majority of hospitals. The emergency operating room is not always available. Elective surgical procedures were postponed or cancelled to perform emergency surgery. It is a priority to validate an effective universal triaging and scheduling system to allocate emergency surgical procedures. Logistical issues have to be assessed in a multidisciplinary approach to improving patients' safety, optimal use of resources, and decreasing costs.

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“…As in most pediatric cardiovascular surgery programs across the United States, the cardiovascular operating room (CVOR) interprofessional team comprises clinicians highly specialized in pediatric cardiac surgery. 1 , 2 For over a decade, the American Association of Critical Care Nurses (AACN) has championed a Healthy Work Environment (HWE) to support optimal patient outcomes and clinical excellence. 3 The AACN HWE framework, with its six evidence-based standards, interacts dynamically to promote clinical and operational excellence for optimal patient outcomes ( Supplemental Digital Content 1 , which describes AACN standard for establishing and sustaining healthy work environments, http://links.lww.com/PQ9/A562 ).…”

Section: Introductionmentioning

confidence: 99%

Measuring the Interprofessional Health of the Pediatric Cardiovascular Operating Room Work Environment

Thornton,

Connor,

Dwyer

et al. 2024

Pediatric Quality &Amp; Safety

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Introduction: Pediatric cardiac surgery is complex and has significant risk, requiring interprofessional teamwork for optimal outcomes. Unhealthy work environments have been linked to poor patient outcomes, staff dissatisfaction, and intention to leave. We describe the interprofessional health of pediatric cardiovascular operating room (CVOR) work environments in the United States and the establishment of a healthy work environment (HWE) benchmark score. Methods: Utilizing the American Association of Critical Care Nurses Healthy Work Environments Assessment Tool (HWEAT), interprofessional staff from 11 pediatric CVORs were surveyed. Responses were aggregated, summarized, and stratified by role to examine differences. The following phase used an e-Delphi approach to obtain expert consensus on a benchmark target. Results: Across 11 centers, 179 (60%) completed surveys were reviewed. The interprofessional mean HWEAT score was 3.55 (2.65–4.34). Mean scores for each standard were within the “good” range. Participants reported the highest scores for effective decision-making, with a mean of 3.69 (3.00–4.20). Meaningful recognition scored lowest, mean 3.26 (2.33–4.07). When stratified, surgeons reported higher overall HWE scores (M = 3.79, SD = 0.13) than nurses (M = 3.41, SD = 0.19; P = 0.02, two-tailed). The proposed benchmark was 3.50. Conclusions: This is the first time the American Association of Critical Care Nurses HWEAT has been used to describe the interprofessional health of work environments in pediatric CVORs in the United States. The targeted benchmark can support pediatric CVOR improvement strategies. Creating and sustaining an HWE is an interprofessional opportunity to support high-quality patient outcomes and clinical excellence.

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Teamwork in a Surgical Department

Cited by 5 publications

References 95 publications

The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey

The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey

The “Operating Room Surgical Activity” (ORSA) study: a snap-shot international survey on the global management of the operating theatres for emergency surgery. When to persist is diabolical…

Measuring the Interprofessional Health of the Pediatric Cardiovascular Operating Room Work Environment

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